Infertility

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  • 2 Answers
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    A physician performs the intrauterine insemination (IUI) approximately one hour after the semen arrives in the laboratory for processing. After a speculum is inserted into the vagina, a narrow catheter is slipped through the cervical canal. Sperm are deposited in the upper portion of the uterus. No medication or anesthetics are required, and the procedure is usually painless. Once the catheter and speculum are removed, you will remain lying down with your hips slightly elevated for 15 minutes.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    A answered
    Artificial insemination may be recommended if you are a man who wants to conceive a child but who:
    •  has a low sperm count
    •  has sperm with poor motility (the ability to move spontaneously and powerfully to reach the egg)
    •  is unable to achieve an erection
    •  has retrograde ejaculation (a condition in which sperm are ejaculated into the bladder instead of out the penis)
    Artificial insemination may also be recommended if you are a woman who is part of a couple that wants to conceive a child, and you:
    •  have a scarred or damaged cervix
    •  have problems with your cervical mucus
    •  have been diagnosed with unexplained infertility
    Artificial insemination is the placement of sperm directly into a woman's uterus by using a syringe with a catheter. It is usually performed within 24 to 36 hours of a woman ovulating. Before insemination, the sperm is washed or "separated," a process that concentrates the healthiest, most motile sperm to increase the odds of successfully fertilizing the egg.
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  • 1 Answer
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    Generally, your partner will come to the fertility office the morning of your treatment to provide a semen specimen, which will be processed in an andrology laboratory. After a semen specimen is produced by the husband or partner, the sperm are counted and processed. The processing is done to remove the seminal fluid. In some circumstances, your partner may collect a sample at home, provided it is delivered in a sterile container to the laboratory within 30 minutes of collection. The clinic will provide a kit for this purpose.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    A , Reproductive Endocrinology, answered
    Performing intrauterine insemination may result in an increase in the number of sperm at the site of fertilization in the fallopian tube. Generally only 1 of 2000 sperm ejaculated into the vagina can later be found in the fallopian tube. Therefore, adding insemination to stimulated cycles may further improve the pregnancy rate. A possible side effect of the injectable fertility drugs is ovarian hyperstimulation, a condition in which the ovaries are tender and enlarged. In severe cases, a woman may have swelling from retaining excessive amounts of body fluid in the tissues. Fortunately, severe hyperstimulation is rare, occurring in less than one percent of treatment cycles.
  • 1 Answer
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    If the intrauterine insemination (IUI) is successful, conception normally occurs approximately 24 hours after ovulation, and the embryo will implant between cycle day 20 to 24. If you do not experience a period by day 14 from your time of ovulation or IUI, you should take a home pregnancy test. If it is positive or if your cycle doesn’t start, visit the clinic for a serum blood test to check for pregnancy.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
  • 6 Answers
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    A , Diagnostic Radiology, answered
    By placing sperm directly into the uterus via a catheter, intrauterine insemination bypasses cervical mucus that may be hostile to the sperm, placing them close to the fallopian tubes where fertilization occurs. IUI is often successful in overcoming sperm count and movement problems, retrograde ejaculation, immunologic infertility and other causes of infertility.
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  • 1 Answer
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    Intrauterine insemination (IUI) is performed at different stages in a woman's cycle, depending on whether or not her ovulation is being stimulated with medications.
    • Without Stimulation. If no female factors are causing infertility, IUI may be performed during a natural ovulation cycle with no medications. The timing of IUI is determined by using an “ovulation predictor” urine test, with the procedure performed the day after a positive test. Ultrasound exams may be used to help determine exact timing.
    • With Stimulation. To improve the chances of ovulation and to increase the number of eggs that are released, some women take medication such as clomiphene citrate (Clomid, Serophene) or letrozole (Femara). These medications are usually taken daily during cycle days five through nine, followed by IUI timed with urine luteinizing hormone (LH) kits.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
  • 1 Answer
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    After the intrauterine insemination (IUI) procedure, you may leave the office and go about your usual activities. Light spotting after the procedure, as well as leakage of some insemination fluid, may occur; this discharge is normal. If you experience light cramping, you may treat it with acetaminophen. Do not take nonsteroidals, such as ibuprofen or naprosyn, as these medications may affect ovulation.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    A , Pharmacy, answered
    You can buy pregnancy testing kits to determine if you are pregnant. These tests detect the levels of a hormone called human chorionic gonadotropin (HCG) in your urine sample. If you test after having too much protein, it might result in a false positive. If you test after a lot of fluid intake, it might result in a false negative. To ensure accuracy, conduct the test in the morning when you urinate for the first time in the day.
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    Basal body temperature (BBT) charting is a way to test to see if a woman has ovulated. It requires the woman to measure her body temperature before getting up in the morning and record the value to a 1/10th of a degree on a chart.

    In ovulatory women, their temperature usually rises after ovulation. This might be helpful in some cases but cannot be reliably used to time intercourse.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.